Motives, Quantum Field Theory, and Pseudodifferential Operators

Boston University — June 2-14, 2008

Credit Card Authorization Form
Please e-mail this form to kheavey@bu.edu or send to our secure fax machine (617-353-8100).
Thank you.

Name_____________________________________

I authorize Boston University to charge my_________________(VISA or Mastercard)

Account #__________________________________

Expiration date__________________

Amount _______________________

Signature __________________________________

Date______________________________________

Note: Sending this from your personal e-mail account is equivalent to your signature.